S&C QCOR HHA 2567s
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HHAs 2567s
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Time Interval

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Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific HHA deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 369102 Living Life Homecare Llc 2323 Lake Club Drive, Suite 102 Columbus OH 5 (Chicago) 04/26/2018 L63811 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0029 Development of Communication Plan Standard
E0031 Emergency Officials Contact Information Standard
G0536 A review of all current medications Element
G0800 Services provided by HH aide Element
▼ 369108 Home Healthcare Dynamics Llc 44 Hillwyck Drive Toledo OH 5 (Chicago) 10/14/2022 5DE01-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0680 Infection prevention and control Condition
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0942 Governing body Standard
G0710 Provide services in the plan of care Element
▼ 369108 Home Healthcare Dynamics Llc 44 Hillwyck Drive Toledo OH 5 (Chicago) 01/21/2021 OFEE11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 369108 Home Healthcare Dynamics Llc 44 Hillwyck Drive Toledo OH 5 (Chicago) 03/13/2019 ND6111 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 369109 Right Care Home Healthcare, Llc 7516 Slate Ridge Blvd Reynoldsburg OH 5 (Chicago) 09/05/2024 640E2-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Condition of Participation: Patient rights. Condition
G0572 Plan of care Standard
G0488 Immediate reporting of abuse by all staff Element
▼ 369110 Safe Home Care Llc 3454 Oak Alley Court, Suite 104 Toledo OH 5 (Chicago) 04/13/2023 5F7DF-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0754 A qualified HH aide successfully completed: Element
▼ 369112 Pennell Healthcare Llc 2525 Oakstone Drive Suite A Columbus OH 5 (Chicago) 08/11/2021 2HEP11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 369113 Family Choice Home Healthcare Services, Llc 2021 East Dublin-Granville Road Suite 136 Columbus OH 5 (Chicago) 10/25/2022 4F746-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0862 Laboratory services/CLIA waivers Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
▼ 369113 Family Choice Home Healthcare Services, Llc 2021 East Dublin-Granville Road Suite 136 Columbus OH 5 (Chicago) 04/26/2018 M77V11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 369114 Toledo Home Healthcare Llc 4230 Secor Road Toledo OH 5 (Chicago) 06/18/2018 SB2711 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0940 Organization and administration of services Condition
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0644 Program data Standard
G0646 Program activities Standard
G0958 Clinical manager Standard
G1024 Authentication Standard
G0412 Written notice of patient's rights Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G0814 Non-skilled direct observation every 60 days Element
G0948 Responsible for all day-to-day operations Element
G0950 Ensure clinical manager is available Element